Organization Active NPI

Morgan County Health Center

  • Public Health or Welfare Agency
  • Versailles, MO
National Provider Identifier
1447456330
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MORGAN COUNTY HEALTH CENTER
Practice address
104 W Lafayette St
Versailles, MO 65084-1346
Phone
(573) 378-5438
Fax
(573) 378-2726
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn Brantley
Title
Assistant Administrator
Phone
(573) 378-5438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

104 W Lafayette St
Versailles, MO 65084-1346

Mailing address

104 W Lafayette St
Versailles, MO 65084-1346
Phone (573) 378-5438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131125000705 MO Part B Supplier - Mass Immunization (Roster Biller Only) 2466688353 Practice locations: Versailles, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0666752Morgan County Health Center104 West Lafayette, Versailles, MO 65084Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory

Locations

104 W Lafayette St
Versailles, MO 65084
Phone (573) 378-5438

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447456330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W LAFAYETTE ST",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841346",
            "telephone_number": "573-378-5438",
            "fax_number": "573-378-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W LAFAYETTE ST",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841346",
            "telephone_number": "573-378-5438",
            "fax_number": "573-378-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "573-378-5438"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.